FORM 1023-EZ for SAVE LIV35 FOUNDATION

Field Data
EIN 81-4124856
Case Number EO-2017011-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAVE LIV35 FOUNDATION
Organization’s Mailing Address 21153 OLD COVINGTON HWY
City HAMMOND
State LA
ZIP 70403
Accounting period End 12
Primary contact name STACIE TRICHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACIE TRICHE
DIRECTOR, PRESIDENT
21153 OLD COVINGTON HWY
HAMMOND LA 70403

Officer/Director/Trustee Two

JOSHUA STROUD
DIRECTOR, VICE-PRESIDENT
8534 CUEVAS TOWN RD
PICAYUNE MS 39466

Officer/Director/Trustee Three

CONNIE MIXON
SECRETARY
200 W COLORADO STREET
HAMMOND LA 70401

Officer/Director/Trustee Four

DENISE EMMONS
TREASURER
16309 E BREWSTER RD APT J368
COVINGTON LA 70433

Officer/Director/Trustee Five

LETA NECAISE
DIRECTOR
5 WOODCOCK CIRCLE
DIAMONDHEAD MS 39525

Organization’s website SAVELIV35FOUNDATION.ORG
Organization’s email INFO@SAVELIV35FOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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